Diagonal earlobe crease: Prevalence and association with medical ailments

Kadam, Yugantara Ramesh; Shah, Yogesh M.; Kore, Parth

doi:10.4103/jcpc.jcpc_26_17

Cited by 6 publications

(7 citation statements)

References 1 publication

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“…1 It can thus be said that while DELC was quite prevalent among patients with ischemic heart disease, its prevalence was not as significant as to deem it pathognomonic for the same, through our study. 1,7,8,10 This supports the hypothesis that age-related weakening of elastic fibers of earlobes may play a role in the pathogenesis of DELC and further studies are needed to prove the same.…”

Section: Discussionsupporting

confidence: 62%

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Study on prevalence of Frank's sign in cardiac patients in a tertiary care centre, Kanyakumari district

et al. 2021

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Background: Despite its identification over 40 years ago, very few dermatologists are aware of the relevance of Frank’s sign as a cutaneous indicator of coronary artery disease. Aim was to find out the prevalence of Frank's sign among cardiac patients attending a tertiary care centre in Kanyakumari district.Methods: This was a cross-sectional case-control study involving 270 patients, out of which 200 patients with proven CAD (by angiography) and 70 patients without evidence of CAD of more than 40 years of age, in cardiac ward as well as patients attending Cardiology and dermatology OPD in Sree Mookambika Institute of Medical Sciences, kanyakumari during a period of 5 months from August 2020 to December 2020. The data compiled included age, gender, presence of CAD, presence of DELC, grade of DELC, and laterality. Results: DELC was present in 109 cases (40.3%) out of which 92 cases (34 %) had CAD and in 17 cases (6.3%) were without CAD, which was statistically significant (p<0.05).Conclusions: There have been very few studies evaluating the frequency of DELC in South Indian patients with CAD. According to results of the present study, DELC was significantly associated with CAD. DELC was an important dermatological indicator of CAD with a moderately high specificity (75%) and positive predictive value (84%), but had a low sensitivity (46%) and negative predictive value (33%).

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Section: Discussionsupporting

confidence: 62%

“…This was consistent with the findings of previous studies like those by Ramdurg et al (64%), Sousa et al in (70%), and Kadam et al (83%). 8,10,11 This implies that male gender is another risk factor for DELC.…”

Section: Discussionmentioning

confidence: 99%

Study on prevalence of Frank's sign in cardiac patients in a tertiary care centre, Kanyakumari district

et al. 2021

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“…6 Kadam YR et al also reported prevalence of Bilateral DELC was 2.7% and its positive association with Cardiovascular disease, diabetes mellitus and hypertension. 10 The registrar General of India reported 17% of total death occurs yearly due to CHD. Hence proper preventive strategies and early diagnosis help to eradicate this epidemic.…”

Section: Discussionmentioning

confidence: 99%

Ear Lobe Crease: A Marker of Coronary Heart Disease

Johar¹,

Sunil²,

Taneja³

et al. 2021

MLU

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Aim and Objective-The clinical study was undertaken to evaluate the diagonal ear lobe crease (Frank sign) as an indicator of Chronic heart disease (CHD). However, there are certain studies have not found any correlation between Frank sign and CHD.Material and Method -Total of 10 patients aged >40years were enrolled in this study with prior medical history of heart disease. Patient with anatomical obliteration of ear excluded from the study. All the selected patient was initially screened and findings were recorded in patient Performa. Date were recorded, tabulated and analysed by using descriptive analysis for responses to each question.Result-DELC is observed in 80% of subjects with heart disease. The most frequently bilateral DELC is observe in 70% of subjects and without DELC in 20% of subjects. The mean age is within the range of 30-70 years. Unilateral and bilateral DELC was more among subject less than 50 years. Conclusion-DELC is uncommon and has a prevalence of correlation with CHD as indicated in the present study. It is suggested that DELC examination be recommended for detecting underlying heart disease.

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“…Freely hanging earlobes are the dominant allele while the attached are recessive (Figure 1). 14,15 The earlobe is composed of tough areolar and adipose tissue, and connective tissue. The earlobe has a large blood supply and may help to warm the ears.…”

Section: Brief Anatomy Of the Auriclementioning

confidence: 99%

The auricular differences with advancement in age and darwinian tubercle in Igbo and Yoruba ethnic groups in Nigerian

Edibamode

Paul

Hart

et al. 2019

J His Arch & Anthropol Sci

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Background: This study was done to determine the differences in mean auricular lengths, auricular widths and earlobe lengths of males and females with increase in age, prevalence of pendulous and non-pendulous earlobes and Darwinian tubercle in the Igbo and Yoruba ethnic groups of the adult Nigerian population.Materials and methods: These measurements were obtained from 182 females and 118 males from Igbo ethnic group and 95 females and 105 males of the Yoruba ethnic group between ages 18-68 years. Digital vernier calliper was used to measure the different parameters in each individual with 95% confidence interval of the statistic. Results:The result showed generally, that the auricular length and earlobe lengths increased with an increase in age while the auricular width increased irrespective of the advancement in age. Darwinian tubercle in Igbos was 68(22.67%), Prevalence of pendulous earlobe was 157(52.33%) and non-pendulous earlobe 143(47.67%) while in Yorubas Darwinian tubercle was 48(24.0%). Prevalence of pendulous earlobe 132(66.0%) and non-pendulous earlobe was 68(34.0%). The auricles are asymmetrical and continue to grow throughout life in both sexes. Conclusion:Care should be taken in noting the ages and sex of the individuals before surgical practices is been carried out for each auricle.

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Diagonal earlobe crease: Prevalence and association with medical ailments

Cited by 6 publications

References 1 publication

Study on prevalence of Frank's sign in cardiac patients in a tertiary care centre, Kanyakumari district

Study on prevalence of Frank's sign in cardiac patients in a tertiary care centre, Kanyakumari district

Ear Lobe Crease: A Marker of Coronary Heart Disease

The auricular differences with advancement in age and darwinian tubercle in Igbo and Yoruba ethnic groups in Nigerian

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